| NPI | 1528449386 |
|---|---|
| Other Name | JACKSON CLINIC UROLOGY DME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RITZUS Vice President Physician Services 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-08-22 |